Chrisian, Jonathan Logan

Chrisian, Jonathan Logan is an individual health care provider with primary practice located at 311 Pete Phillips Dr , Vidalia GA 30474-8821. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chrisian, Jonathan Logan can be contacted via phone (912) 537-7048.

Contact Information

Primary practice address
311 Pete Phillips Dr Vidalia GA 30474-8821
Phone: (912) 537-7048
Fax: (912) 537-7058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN122426 Georgia

Profile Details

NPI number 1073185336
LBN Legal business name Chrisian, Jonathan Logan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2021
Last updated Aug 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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